44D0934621 CLIA NUMBER - ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY PC

Laboratory Demographics

  • CLIA Code: 44D0934621
  • Facility Name: ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY PC
  • Facility Address: 6015 SHALLOWFORD ROAD
    CHATTANOOGA, TN
    ZIP 37421
  • Facility Phone: 423 893-3333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLISON BALLARD
  • NPI Number: 1033535323
  • Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 44D0934621
LAB Type Physician Office
Facility Name ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY PC
Street 6015 SHALLOWFORD ROAD
City CHATTANOOGA
State TN
ZIP 37421
Phone 423 893-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Physician Office
Lab Director ALLISON BALLARD

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This page was last updated on: 9/29/2025